Connected Health Therapies LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONNECTED HEALTH THERAPIES LLC

Practice address

40 North Main Street
Cushman, AR 72526

Phone

(870) 613-3641

NPI assigned

Feb 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derek Jones, PT, DPTNPI 1740647379

Title

Organizer

Phone

(870) 351-4591

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Jones

  • Physical Therapist
  • Batesville, AR
  • NPI 1740647379

  AR, Physical Therapist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1386400547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "CUSHMAN",
            "state": "AR",
            "postal_code": "725260183",
            "telephone_number": "870-351-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTH MAIN STREET",
            "city": "CUSHMAN",
            "state": "AR",
            "postal_code": "72526",
            "telephone_number": "870-613-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED HEALTH THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "870-351-4591",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superintendent of Cushman School Dist 81
• Superintendent of Cushman School Dist 81

• All providers in Cushman, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.